National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Diabetes Care. 2011 Jul;34(7):1579-81. doi: 10.2337/dc11-0178. Epub 2011 May 20.
To examine whether there were long-term (between 1988-1994 and 2001-2008) and recent (between 2001-2004 and 2005-2008) changes in blood pressure (BP) levels among U.S. adults with diagnosed diabetes.
Using data from National Health and Nutrition Examination Surveys (NHANES), we examined changes in BP distributions, mean BPs, and proportion with BP<140/90 mmHg.
Between 1988-1994 and 2001-2008, for adults with diabetes, mean BPs decreased from 135/72 mmHg to 131/69 mmHg (P<0.01) and the proportion with BP<140/90 mmHg increased from 64 to 69% (P=0.01). Although hypertension prevalence increased, hypertension awareness, treatment, and control improved. However, there was no evidence of improvement for adults 20-44 years old. Between 2001-2004 and 2005-2008, there were no significant changes in BP levels.
BP levels among adults with diabetes improved between 1988-1994 and 2001-2008, but the progress stalled between 2001-2004 and 2005-2008. The lack of improvement among young adults is concerning.
探讨美国确诊糖尿病患者的血压（BP）水平是否存在长期（1988-1994 年与 2001-2008 年之间）和近期（2001-2004 年与 2005-2008 年之间）变化。
利用国家健康与营养调查（NHANES）的数据，我们观察了 BP 分布、平均 BP 及血压<140/90mmHg 的比例的变化。
1988-1994 年与 2001-2008 年间，糖尿病患者的平均 BP 从 135/72mmHg 降至 131/69mmHg（P<0.01），血压<140/90mmHg 的比例从 64%增至 69%（P=0.01）。虽然高血压患病率有所增加，但高血压知晓率、治疗率和控制率均有所改善。然而，20-44 岁人群并未出现改善迹象。2001-2004 年与 2005-2008 年间，BP 水平无显著变化。
1988-1994 年与 2001-2008 年间，糖尿病患者的 BP 水平有所改善，但 2001-2004 年与 2005-2008 年间的进展停滞不前。年轻成年人的情况未见改善，令人担忧。
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